UNRAVELLING DIABETIC RETINOPATHY THROUGH IMAGE PROCESSING, NEURAL NETWORKS AND FUZZY LOGIC – A REVIEW

One of the main causes of blindness is diabetic retinopathy (DR) and it may affect people of any ages. In these days, both young and old ages are affected by diabetes, and the di abetes is the main cause of DR. Hence, it is necessary to have an automated system with good accuracy and less computation time to diagnose and treat DR, and the automated system can simplify the work of ophthalmologists. The objective is to present an overview of various works recently in detecting and segmenting the various lesions of DR. Papers were categorized based on the diagnosing tools and the methods used for detecting early and advanced stage lesions. The early lesions of DR are microaneurysms, hemorrhages, exudates, and cotton wool spots and in the advanced stage, new and fragile blood vessels can be grown. Results have been evaluated in terms of sensitivity, specificity, accuracy and receiver operating characteristic curve. This paper analyzed the various steps and different algorithms used recently for the detection and classification of DR lesions. A comparison of performances has been made in terms of sensitivity, specificity, area under the curve, and accuracy. Suggestions, future workand the area to be improved were also discussed.Keywords: Diabetic retinopathy, Image processing, Morphological operations, Neural network, Fuzzy logic.Â

A survey, review, and future trends of skin lesion segmentation and classification

The Computer-aided Diagnosis or Detection (CAD) approach for skin lesion analysis is an emerging field of research that has the potential to alleviate the burden and cost of skin cancer screening. Researchers have recently indicated increasing interest in developing such CAD systems, with the intention of providing a user-friendly tool to dermatologists to reduce the challenges encountered or associated with manual inspection. This article aims to provide a comprehensive literature survey and review of a total of 594 publications (356 for skin lesion segmentation and 238 for skin lesion classification) published between 2011 and 2022. These articles are analyzed and summarized in a number of different ways to contribute vital information regarding the methods for the development of CAD systems. These ways include: relevant and essential definitions and theories, input data (dataset utilization, preprocessing, augmentations, and fixing imbalance problems), method configuration (techniques, architectures, module frameworks, and losses), training tactics (hyperparameter settings), and evaluation criteria. We intend to investigate a variety of performance-enhancing approaches, including ensemble and post-processing. We also discuss these dimensions to reveal their current trends based on utilization frequencies. In addition, we highlight the primary difficulties associated with evaluating skin lesion segmentation and classification systems using minimal datasets, as well as the potential solutions to these difficulties. Findings, recommendations, and trends are disclosed to inform future research on developing an automated and robust CAD system for skin lesion analysis

Intelligent Biosignal Processing in Wearable and Implantable Sensors

This reprint provides a collection of papers illustrating the state-of-the-art of smart processing of data coming from wearable, implantable or portable sensors. Each paper presents the design, databases used, methodological background, obtained results, and their interpretation for biomedical applications. Revealing examples are brain–machine interfaces for medical rehabilitation, the evaluation of sympathetic nerve activity, a novel automated diagnostic tool based on ECG data to diagnose COVID-19, machine learning-based hypertension risk assessment by means of photoplethysmography and electrocardiography signals, Parkinsonian gait assessment using machine learning tools, thorough analysis of compressive sensing of ECG signals, development of a nanotechnology application for decoding vagus-nerve activity, detection of liver dysfunction using a wearable electronic nose system, prosthetic hand control using surface electromyography, epileptic seizure detection using a CNN, and premature ventricular contraction detection using deep metric learning. Thus, this reprint presents significant clinical applications as well as valuable new research issues, providing current illustrations of this new field of research by addressing the promises, challenges, and hurdles associated with the synergy of biosignal processing and AI through 16 different pertinent studies. Covering a wide range of research and application areas, this book is an excellent resource for researchers, physicians, academics, and PhD or master students working on (bio)signal and image processing, AI, biomaterials, biomechanics, and biotechnology with applications in medicine

Bio-Radar: sistema de aquisição de sinais vitais sem contacto

The Bio-Radar system is capable to measure vital signs accurately, namely the respiratory and cardiac signal, using electromagnetic waves. In this way, it is possible to monitor subjects remotely and comfortably for long periods of time. This system is based on the micro-Doppler effect, which relates the received signal phase variation with the distance change between the subject chest-wall and the radar antennas, which occurs due to the cardiopulmonary function. Considering the variety of applications where this system can be used, it is required to evaluate its performance when applied to real context scenarios and thus demonstrate the advantages that bioradar systems can bring to the general population. In this work, a bio-radar prototype was developed in order to verify the viability to be integrated in specific applications, using robust and low profile solutions that equally guarantee the general system performance while addressing the market needs. Considering these two perspectives to be improved, different level solutions were developed. On the hardware side, textile antennas were developed to be embedded in a car seat upholstery, thus reaching a low profile solution and easy to include in the industrialization process. Real context scenarios imply long-term monitoring periods, where involuntary body motion can occur producing high amplitude signals that overshadow the vital signs. Non-controlled monitoring environments might also produce time varying parasitic reflections that have a direct impact in the signal. Additionally, the subject's physical stature and posture during the monitoring period can have a different impact in the signals quality. Therefore, signal processing algorithms were developed to be robust to low quality signals and non-static scenarios. On the other hand, the bio-radar potential can also be maximized if the acquired signals are used pertinently to help identify the subject's psychophysiological state enabling one to act accordingly. The random body motion until now has been seen as a noisy source, however it can also provide useful information regarding subject's state. In this sense, the acquired vital signs as well as other body motions were used in machine learning algorithms with the goal to identify the subject's emotions and thus verify if the remotely acquired vital signs can also provide useful information.O sistema Bio-Radar permite medir sinais vitais com precisão, nomeadamente o sinal respiratório e cardíaco, utilizando ondas eletromagnéticas para esse fim. Desta forma, é possível monitorizar sujeitos de forma remota e confortável durante longos períodos de tempo. Este sistema é baseado no efeito de micro-Doppler, que relaciona a variação de fase do sinal recebido com a alteração da distância entre as antenas do radar e a caixa torácica do sujeito, que ocorre durante a função cardiopulmonar. Considerando a variedade de aplicações onde este sistema pode ser utilizado, é necessário avaliar o seu desempenho quando aplicado em contextos reais e assim demonstrar as vantagens que os sistemas bio-radar podem trazer à população geral. Neste trabalho, foi desenvolvido um protótipo do bio radar com o objetivo de verificar a viabilidade de integrar estes sistemas em aplicações específicas, utilizando soluções robustas e discretas que garantam igualmente o seu bom desempenho, indo simultaneamente de encontro às necessidades do mercado. Considerando estas duas perspetivas em que o sistema pode ser melhorado, foram desenvolvidas soluções de diferentes níveis. Do ponto de vista de hardware, foram desenvolvidas antenas têxteis para serem integradas no estofo de um banco automóvel, alcançando uma solução discreta e fácil de incluir num processo de industrialização. Contextos reais de aplicação implicam períodos de monitorização longos, onde podem ocorrer movimentos corporais involuntários que produzem sinais de elevada amplitude que se sobrepõem aos sinais vitais. Ambientes de monitorização não controlados podem produzir reflexões parasitas variantes no tempo que têm impacto direto no sinal. Adicionalmente, a estrutura física do sujeito e a sua postura durante o período de monitorização podem ter impactos diferentes na qualidade dos sinais. Desta forma, foram desenvolvidos algoritmos de processamento de sinal robustos a sinais de baixa qualidade e a cenários não estáticos. Por outro lado, o potencial do bio radar pode também ser maximizado se os sinais adquiridos forem pertinentemente utilizados de forma a ajudar a identificar o estado psicofisiológico do sujeito, permitindo mais tarde agir em conformidade. O movimento corporal aleatório que foi até agora visto como uma fonte de ruído, pode no entanto também fornecer informação útil sobre o estado do sujeito. Neste sentido, os sinais vitais e outros movimentos corporais adquiridos foram utilizados em algoritmos de aprendizagem automática com o objetivo de identificar as emoções do sujeito e assim verificar que sinais vitais adquiridos remotamente podem também conter informação útil.Programa Doutoral em Engenharia Eletrotécnic

Multidimensional embedded MEMS motion detectors for wearable mechanocardiography and 4D medical imaging

Background: Cardiovascular diseases are the number one cause of death. Of these deaths, almost 80% are due to coronary artery disease (CAD) and cerebrovascular disease. Multidimensional microelectromechanical systems (MEMS) sensors allow measuring the mechanical movement of the heart muscle offering an entirely new and innovative solution to evaluate cardiac rhythm and function. Recent advances in miniaturized motion sensors present an exciting opportunity to study novel device-driven and functional motion detection systems in the areas of both cardiac monitoring and biomedical imaging, for example, in computed tomography (CT) and positron emission tomography (PET). Methods: This Ph.D. work describes a new cardiac motion detection paradigm and measurement technology based on multimodal measuring tools — by tracking the heart’s kinetic activity using micro-sized MEMS sensors — and novel computational approaches — by deploying signal processing and machine learning techniques—for detecting cardiac pathological disorders. In particular, this study focuses on the capability of joint gyrocardiography (GCG) and seismocardiography (SCG) techniques that constitute the mechanocardiography (MCG) concept representing the mechanical characteristics of the cardiac precordial surface vibrations. Results: Experimental analyses showed that integrating multisource sensory data resulted in precise estimation of heart rate with an accuracy of 99% (healthy, n=29), detection of heart arrhythmia (n=435) with an accuracy of 95-97%, ischemic disease indication with approximately 75% accuracy (n=22), as well as significantly improved quality of four-dimensional (4D) cardiac PET images by eliminating motion related inaccuracies using MEMS dual gating approach. Tissue Doppler imaging (TDI) analysis of GCG (healthy, n=9) showed promising results for measuring the cardiac timing intervals and myocardial deformation changes. Conclusion: The findings of this study demonstrate clinical potential of MEMS motion sensors in cardiology that may facilitate in time diagnosis of cardiac abnormalities. Multidimensional MCG can effectively contribute to detecting atrial fibrillation (AFib), myocardial infarction (MI), and CAD. Additionally, MEMS motion sensing improves the reliability and quality of cardiac PET imaging.Moniulotteisten sulautettujen MEMS-liiketunnistimien käyttö sydänkardiografiassa sekä lääketieteellisessä 4D-kuvantamisessa Tausta: Sydän- ja verisuonitaudit ovat yleisin kuolinsyy. Näistä kuolemantapauksista lähes 80% johtuu sepelvaltimotaudista (CAD) ja aivoverenkierron häiriöistä. Moniulotteiset mikroelektromekaaniset järjestelmät (MEMS) mahdollistavat sydänlihaksen mekaanisen liikkeen mittaamisen, mikä puolestaan tarjoaa täysin uudenlaisen ja innovatiivisen ratkaisun sydämen rytmin ja toiminnan arvioimiseksi. Viimeaikaiset teknologiset edistysaskeleet mahdollistavat uusien pienikokoisten liiketunnistusjärjestelmien käyttämisen sydämen toiminnan tutkimuksessa sekä lääketieteellisen kuvantamisen, kuten esimerkiksi tietokonetomografian (CT) ja positroniemissiotomografian (PET), tarkkuuden parantamisessa. Menetelmät: Tämä väitöskirjatyö esittelee uuden sydämen kineettisen toiminnan mittaustekniikan, joka pohjautuu MEMS-anturien käyttöön. Uudet laskennalliset lähestymistavat, jotka perustuvat signaalinkäsittelyyn ja koneoppimiseen, mahdollistavat sydämen patologisten häiriöiden havaitsemisen MEMS-antureista saatavista signaaleista. Tässä tutkimuksessa keskitytään erityisesti mekanokardiografiaan (MCG), joihin kuuluvat gyrokardiografia (GCG) ja seismokardiografia (SCG). Näiden tekniikoiden avulla voidaan mitata kardiorespiratorisen järjestelmän mekaanisia ominaisuuksia. Tulokset: Kokeelliset analyysit osoittivat, että integroimalla usean sensorin dataa voidaan mitata syketiheyttä 99% (terveillä n=29) tarkkuudella, havaita sydämen rytmihäiriöt (n=435) 95-97%, tarkkuudella, sekä havaita iskeeminen sairaus noin 75% tarkkuudella (n=22). Lisäksi MEMS-kaksoistahdistuksen avulla voidaan parantaa sydämen 4D PET-kuvan laatua, kun liikeepätarkkuudet voidaan eliminoida paremmin. Doppler-kuvantamisessa (TDI, Tissue Doppler Imaging) GCG-analyysi (terveillä, n=9) osoitti lupaavia tuloksia sydänsykkeen ajoituksen ja intervallien sekä sydänlihasmuutosten mittaamisessa. Päätelmä: Tämän tutkimuksen tulokset osoittavat, että kardiologisilla MEMS-liikeantureilla on kliinistä potentiaalia sydämen toiminnallisten poikkeavuuksien diagnostisoinnissa. Moniuloitteinen MCG voi edistää eteisvärinän (AFib), sydäninfarktin (MI) ja CAD:n havaitsemista. Lisäksi MEMS-liiketunnistus parantaa sydämen PET-kuvantamisen luotettavuutta ja laatua

Semantic Assisted, Multiresolution Image Retrieval in 3D Brain MR Volumes

Content Based Image Retrieval (CBIR) is an important research area in the field of multimedia information retrieval. The application of CBIR in the medical domain has been attempted before, however the use of CBIR in medical diagnostics is a daunting task. The goal of diagnostic medical image retrieval is to provide diagnostic support by displaying relevant past cases, along with proven pathologies as ground truths. Moreover, medical image retrieval can be extremely useful as a training tool for medical students and residents, follow-up studies, and for research purposes. Despite the presence of an impressive amount of research in the area of CBIR, its acceptance for mainstream and practical applications is quite limited. The research in CBIR has mostly been conducted as an academic pursuit, rather than for providing the solution to a need. For example, many researchers proposed CBIR systems where the image database consists of images belonging to a heterogeneous mixture of man-made objects and natural scenes while ignoring the practical uses of such systems. Furthermore, the intended use of CBIR systems is important in addressing the problem of "Semantic Gap". Indeed, the requirements for the semantics in an image retrieval system for pathological applications are quite different from those intended for training and education. Moreover, many researchers have underestimated the level of accuracy required for a useful and practical image retrieval system. The human eye is extremely dexterous and efficient in visual information processing; consequently, CBIR systems should be highly precise in image retrieval so as to be useful to human users. Unsurprisingly, due to these and other reasons, most of the proposed systems have not found useful real world applications. In this dissertation, an attempt is made to address the challenging problem of developing a retrieval system for medical diagnostics applications. More specifically, a system for semantic retrieval of Magnetic Resonance (MR) images in 3D brain volumes is proposed. The proposed retrieval system has a potential to be useful for clinical experts where the human eye may fail. Previously proposed systems used imprecise segmentation and feature extraction techniques, which are not suitable for precise matching requirements of the image retrieval in this application domain. This dissertation uses multiscale representation for image retrieval, which is robust against noise and MR inhomogeneity. In order to achieve a higher degree of accuracy in the presence of misalignments, an image registration based retrieval framework is developed. Additionally, to speed-up the retrieval system, a fast discrete wavelet based feature space is proposed. Further improvement in speed is achieved by semantically classifying of the human brain into various "Semantic Regions", using an SVM based machine learning approach. A novel and fast identification system is proposed for identifying a 3D volume given a 2D image slice. To this end, we used SVM output probabilities for ranking and identification of patient volumes. The proposed retrieval systems are tested not only for noise conditions but also for healthy and abnormal cases, resulting in promising retrieval performance with respect to multi-modality, accuracy, speed and robustness. This dissertation furnishes medical practitioners with a valuable set of tools for semantic retrieval of 2D images, where the human eye may fail. Specifically, the proposed retrieval algorithms provide medical practitioners with the ability to retrieve 2D MR brain images accurately and monitor the disease progression in various lobes of the human brain, with the capability to monitor the disease progression in multiple patients simultaneously. Additionally, the proposed semantic classification scheme can be extremely useful for semantic based categorization, clustering and annotation of images in MR brain databases. This research framework may evolve in a natural progression towards developing more powerful and robust retrieval systems. It also provides a foundation to researchers in semantic based retrieval systems on how to expand existing toolsets for solving retrieval problems

Optical security and authentication using nanoscale and thin-film structures

Authentication of encoded information is a popular current trend in optical security. Recent research has proposed the production of secure unclonable ID tags and devices with the use of nanoscale encoding and thin-film deposition fabrication techniques, which are nearly impossible to counterfeit but can be verified using optics and photonics instruments. Present procedures in optical encryption provide secure access to the information, and these techniques are improving daily. Nevertheless, a rightful recipient with access to the decryption key may not be able to validate the authenticity of the message. In other words, there is no simple way to check whether the information has been counterfeited. Metallic nanoparticles may be used in the fabrication process because they provide distinctive polarimetric signatures that can be used for validation. The data is encoded in the optical domain, which can be verified using physical properties with speckle analysis or ellipsometry. Signals obtained from fake and genuine samples are complex and can be difficult to distinguish. For this reason, machine-learning classification algorithms are required in order to determine the authenticity of the encoded data and verify the security of unclonable nanoparticle encoded or thin-film-based ID tags. In this paper, we review recent research on optical validation of messages, ID tags, and codes using nanostructures, thin films, and 3D optical codes. We analyze several case scenarios where optically encoded devices have to be authenticated. Validation requires the combined use of a variety of multi-disciplinary approaches in optical and statistical techniques, and for this reason, the first five sections of this paper are organized as a tutorial